scholarly journals Prevalence of Anemia Across Trimesters in Multiethnic Pregnant Women

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 765-765
Author(s):  
Wanhui Kang ◽  
Carrie Irvine ◽  
Eva Pressman ◽  
Kimberly O'Brien
Keyword(s):  
Risk Factors ◽  
Black Women ◽  
Pregnant Women ◽  
White Women ◽  
Late Gestation ◽  
Racial Groups ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
T1 And T2 ◽  
Prevalence Of Anemia

Abstract Objectives This study aimed to characterize prevalence and determinants of anemia in a multiethnic cohort of pregnant women. Methods A retrospective medical chart review was undertaken of all deliveries occurring from 2011 to 2020 at Strong Memorial Hospital and Highland Hospital in Rochester, NY. Among a total of 53,642 deliveries, 42,289 occurred to women with no underlying health complications. Anemia was defined using the CDC criteria as < 11g/dL in the first (T1) and third trimesters (T3) and < 10.5 g/dL in the second trimester (T2). Mean Hb concentration was compared between trimesters and racial groups by ANOVA and post-hoc pairwise comparisons. Relationships between prevalence of anemia by trimesters, racial groups, and BMI were examined by chi-square or t-tests. Logistic regression models were conducted to estimate the risk factors associated with anemia. Results Pregnant women had a mean age of 29.8 ± 5.5 y (range: 13−52 y) at delivery. The majority of women (66.8%) self-identified as white, 20.0% as black, 3.8% as Asian, and 9.4% as Other. Mean Hb concentrations significantly differed by trimester [12.6 ± 1.0, 11.5 ± 1.1, and 11.8 ± 1.3 g/dL in T1, T2 and T3, respectively, p < 0.001]. Mean Hb was significantly lower in black women in each trimester by -0.8 (T1), -0.7 (T2), and -1.0 g/dL (T3) compared to white women. White women had the highest Hb concentrations in T1 and T2 (12.8 ± 0.9, 11.8 ± 1.0 g/dL) while Asian women had the highest Hb concentrations in T3 (12.2 ± 1.2 g/dL, n = 1577, p < 0.001). The overall prevalence of anemia was 17.1%, which significantly increased across pregnancy [4.5% (T1), 16.4% (T2) and 25.2% (T3), p < 0.001]. Observed rates of anemia were higher than the estimated NHANES (1999–2006) prevalence in pregnant women. After stratifying by racial groups, higher BMI was significantly associated with a lower prevalence of anemia in T2 and T3 only in black women and in those whose race was categorized as Other. Conclusions The prevalence of anemia was highest in black pregnant women in all trimesters, while it was lowest in white pregnant women in T1 and T2, and in Asians in T3. Risk factors associated with anemia included late gestation or self-reported race as black or Other. Funding Sources None.

scholarly journals Racial differences in lifestyle, demographic, and health factors associated with quality of life (QoL) in midlife women

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Brandi Patrice Smith ◽  
Esmeralda Cardoso-Mendoza ◽  
Jodi A. Flaws ◽  
Zeynep Madak-Erdogan ◽  
Rebecca L. Smith
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Black Women ◽  
Racial Differences ◽  
White Women ◽  
Midlife Women ◽  
Health Study ◽  
Racial Groups ◽  
Factors Associated

AbstractPreviously, quality of life (Qol) has been defined as an individual’s evaluation of a satisfactory life as a whole (i.e. physically, mentally, psychologically, and socially). Only a few studies have examined the racial differences between QoL and risk factors associated with health, demographics, and lifestyle in midlife women. Thus, the purpose of our study was to determine racial differences in QoL in menopausal women due to lifestyle, demographic, and health related risk factors. A stratified ordinal logistic regression model was applied to self-reported questionnaire data from the Midlife Women’s Health Study (MWHS) to determine risk factors associated with QoL differences between White and Black women during the menopausal transition. In multivariable models, our results showed Black women who had 3 or 4 comorbidities were about 4 times as likely to have higher QoL compared to women who had 0 to 2 comorbidities (95% CI: 1.65,10.78). However, the number of comorbidities was not significantly associated with QoL in White women in univariate or multiple regression. Further, body mass index and income were not significant factors in QoL in Black women but were in White women. Overall, our results illustrate that differences in health, demographic, and lifestyle factors are associated with QoL during menopause. Also, we suggest that future studies evaluate stratified models between racial groups to determine race-specific risk factors related to quality of life.

scholarly journals Racial Differences in Lifestyle, Demographic, and Health Factors Associated with Quality of Life (QoL) in Midlife Women

2020 ◽  
Author(s):  
Brandi Patrice Smith ◽  
Esmeralda Cardoso-Mendoza ◽  
Jodi A. Flaws ◽  
Zeynep Madak-Erdogan ◽  
Rebecca Lee Smith
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Black Women ◽  
Racial Differences ◽  
White Women ◽  
Midlife Women ◽  
Health Study ◽  
Racial Groups ◽  
Factors Associated

Abstract Previously, quality of life (Qol) has been defined as an individual’s evaluation of a satisfactory life as a whole (i.e. physically, mentally, psychologically, and socially). Only a few studies have examined the racial differences between QoL, and risk factors associated with health, demographics, and lifestyle in midlife women. Thus, the purpose of our study is to determine racial differences in QoL in menopausal women due to lifestyle, demographic, and health related risk factors. A stratified ordinal logistic regression model was applied to self-reported questionnaire data from the Midlife Women's Health Study (MWHS) to determine risk factors associated with QoL differences between White and Black women during the menopausal transition. In multivariate models, our results showed Black women who had 3 or 4 comorbidities (moderate) were about 4 times as likely to have higher QoL compared to women who had 0 to 2 comorbidities (95% CI: 1.65,10.78). However, the number of comorbidities was not significantly associated with QoL in White women in univariate or multivariate analysis. Further, BMI and income were not significant factors in QoL in Black women but were in White women. Overall, our results illustrate that differences in health, demographic, and lifestyle factors are associated with QoL during menopause. Also, we suggest that future studies evaluate stratified models between racial groups to determine race-specific risk factors related to quality of life.

scholarly journals Racial Differences in Lifestyle, Demographic, and Health Factors Associated with Quality of Life (QoL) in Midlife Women

2020 ◽  
Author(s):  
Brandi Patrice Smith ◽  
Esmeralda Cardoso-Mendoza ◽  
Jodi A. Flaws ◽  
Zeynep Madak-Erdogan ◽  
Rebecca Lee Smith
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Black Women ◽  
Racial Differences ◽  
White Women ◽  
Midlife Women ◽  
Health Study ◽  
Racial Groups ◽  
Factors Associated

Abstract Previously, quality of life (Qol) has been defined as an individual’s evaluation of a satisfactory life as a whole (i.e. physically, mentally, psychologically, and socially). Only a few studies have examined the racial differences between QoL, and risk factors associated with health, demographics, and lifestyle in midlife women. Thus, the purpose of our study is to determine racial differences in QoL in menopausal women due to lifestyle, demographic, and health related risk factors. A stratified ordinal logistic regression model was applied to self-reported questionnaire data from the Midlife Women's Health Study (MWHS) to determine risk factors associated with QoL differences between White and Black women during the menopausal transition. In multivariate models, our results showed Black women who had 3 or 4 comorbidities (moderate) were about 4 times as likely to have higher QoL compared to women who had 0 to 2 comorbidities (95% CI: 1.65,10.78). However, the number of comorbidities was not significantly associated with QoL in White women in univariate or multivariate analysis. Further, BMI and income were not significant factors in QoL in Black women but were in White women. Overall, our results illustrate that differences in health, demographic, and lifestyle factors are associated with QoL during menopause. Also, we suggest that future studies evaluate stratified models between racial groups to determine race-specific risk factors related to quality of life.

scholarly journals Racial Differences in Lifestyle, Demographic, and Health Factors Associated with Quality of Life (QoL) in Midlife Women

2020 ◽  
Author(s):  
Brandi Patrice Smith ◽  
Esmeralda Cardoso-Mendoza ◽  
Jodi A. Flaws ◽  
Zeynep Madak-Erdogan ◽  
Rebecca Lee Smith
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Black Women ◽  
Racial Differences ◽  
White Women ◽  
Midlife Women ◽  
Health Study ◽  
Related Factors ◽  
Factors Associated

Abstract Background Quality of Life (QoL) is a major indicator of an individual’s overall health. Only a few studies have examined the racial differences between QoL, and risk factors associated with health, demographics, and lifestyle in midlife women. Thus, the purpose of our study is to determine racial differences in QoL in menopausal women due to lifestyle, demographic, and health related factors. Methods A stratified ordinal logistic regression model was applied to self-reported questionnaire data from the Midlife Women's Health Study (MWHS) to determine risk factors associated with QoL differences between white and black women during the menopausal transition. Results In multivariate models, our results showed black women who had 3 or 4 comorbidities (moderate) were about 4 times as likely to have higher QoL compared to women who had 0 to 2 comorbidities (95% CI: 1.65,10.78). However, the number of comorbidities was not significantly associated with QoL in white women in univariate or multivariate analysis. Further, BMI, education, and income were not significant factors in QoL in black women but were in white women. Conclusions Overall, our results illustrate that differences in health, demographic, and lifestyle factors are associated with QoL during menopause. Also, we suggest that future studies evaluate stratified models between racial groups to determine race-specific risk factors related to quality of life.

scholarly journals Risk factors associated with C hagas disease in pregnant women in S antander, a highly endemic C olombian area

2015 ◽  
Vol 21 (1) ◽  
pp. 140-148 ◽  
Author(s):  
Yeny Z. Castellanos‐Domínguez ◽  
Zulma M. Cucunubá ◽  
Luis C. Orozco ◽  
Carlos A. Valencia‐Hernández ◽  
Cielo M. León ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Factors Associated

Trends in modifiable behaviorally related cancers: Who is affected the most?

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e13531-e13531
Author(s):  
John Chan ◽  
Michelle Ann P. Caesar ◽  
Chloe Chan ◽  
Michael Richardson ◽  
Daniel Stuart Kapp ◽  
...  
Keyword(s):  
Breast Cancer ◽  
United States ◽  
Physical Inactivity ◽  
White Women ◽  
Postmenopausal Breast Cancer ◽  
The United States ◽  
Racial Groups ◽  
Factors Associated ◽  
Modifiable Factors ◽  
Asian Men

e13531 Background: To examine trends in modifiable behaviorally related cancers among racial groups in the United States. Methods: Data were obtained from the United States Cancer Statistics (USCS) database for all cancers diagnosed between 2001 and 2017. Alcohol-associated cancers, HPV-associated, obesity-associated, physical inactivity-associated, and tobacco-associated were defined using ICD-O-3 site codes. SEER*Stat 8.3.8 and Joinpoint regression program 4.8.0.1 were used to calculate the trends of associated cancers expressed per 100,000. Results: In women, the incidence of all cancers has decreased significantly or remain unchanged for all racial groups in 2017, with the exception of an increase of HPV related cancers in white women (APC = 0.77%, p < 0.001), obesity related cancers in Hispanic women (APC = 0.46%, p < 0.001), and postmenopausal breast cancer in Black and Asian women (APC 0.78%, 1.06%, p < 0.001). The incidence of alcohol, tobacco, obesity, and physical inactivity associated cancer decreased significantly in men for all racial groups in 2017. HPV related cancers increased annually by 3.13% (p < 0.001) in White men and 0.90% in Asian men (p = 0.022). The highest decrease in modifiable factors associated with cancers was in physical inactivity related cancers in black men from the west (APC = -3.79, p < 0.001). The intersection of black race and U.S. region had the highest decreases in all cancers except obesity-related cancers where the intersection of Asian race and Midwest region had the highest decrease. Conclusions: In women, most modifiable factors associated with cancer are decreasing except in obesity related cancers and physical inactivity/obesity related postmenopausal breast cancer. In men, these rates of cancer are decreasing for all racial groups except HPV related cancers in White and Asian men.

scholarly journals Perineal trauma after vaginal delivery in healthy pregnant women

2014 ◽  
Vol 132 (4) ◽  
pp. 231-238 ◽  
Author(s):  
Larissa Santos Oliveira ◽  
Luiz Gustavo Oliveira Brito ◽  
Silvana Maria Quintana ◽  
Geraldo Duarte ◽  
Alessandra Cristina Marcolin
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Standing Position ◽  
Professional Activity ◽  
Factors Associated ◽  
Perineal Injury ◽  
Secondary Hospital ◽  
Perineal Injuries

CONTEXT AND OBJECTIVE:Despite all the medical care provided during delivery labor, perineal injury is still prevalent and may lead to diverse pelvic floor disorders. The aim here was to investigate the prevalence of obstetric and anal sphincter injuries (OASIS) in healthy pregnant women after vaginal delivery.DESIGN AND SETTING:Cross-sectional study involving 3,034 patients with singletons in a secondary hospital for low-risk cases.METHODS:A standardized questionnaire was prepared and applied to medical files that had been completely filled out (classification of the Royal College of Obstetricians and Gynecologists, RCOG) in order to identify OASIS and analyze risk factors associated with mild and severe perineal lacerations.RESULTS:The women's mean age was 25 years; more than half (54.4%) were primiparae. Almost 38% of the participants had perineal lacerations; these were severe in 0.9% of the cases. Previous vaginal delivery (odds ratio, OR: 1.64 [1.33-2.04]) and forceps delivery (OR: 2.04 [1.39-2.97]) were risk factors associated with mild perineal injuries (1st and 2nd OASIS classifications). Only remaining standing for prolonged periods during professional activity (OR: 2.85 [1.34-6.09]) was associated with severe perineal injuries.CONCLUSION:The prevalence of severe perineal injuries was concordant with data in the literature. The variable of standing position was considered to be a risk factor for severe perineal injury and should be further investigated.

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